Passport Application - Immigration

1 35 AFor O cial use onlyNMRP No. (If any)Type of ServiceNormal. (If any)National Identity Card Yes, Dual Citizenship No.(Please ll up elds 17 and 18 in the next page) CHARGE sheet for further for Dual Citizenship Holders17. Foreign NationalityFather / GuardianNational Identity Card No. / Present travel Document place your signature inside both cages below. Signature should not touch the / GuardianNational Identity Card No. / Present travel Document Foreign Passport If this Application is for a child below the age of 16 years, following information must also be ; lafjk fldgq fol ;=< l b j, m Tf w;aik fjk fjku ;nkak'fPNo cs;s ,uz;L $LfSf;Fs;Sk; jaT nra;J cq;fs; ifnahg;gj;ij ,lTk;> ifnahg;gk; $Lfspy; Kl;lf; $ Y%S ,dxlsl mqrjeisfhl= nj;a u iska by; i|yka l< f;dr;=re yd f wh m;g wuqKd we;s wfkl=;a f,aLk i;H yd ksjer njg m%ldY lr ' ;jo" wi;H f;dr;=re iy ,shlsh ,s b m;a ls u o~qj ,e h yels jrola nj oks 'ehd; xU ,yq;ifg; gpui[nadTk;> Nkw;Nghe;j vd;dhy; toq;fg;gl;Ls;s jfty;fSk; ,izf;fg;gl;Ls;s Mtzq;fSk; rupahditnadTk;> cz;ikahditnadTk; ,j;jhy.]

2 CWjpAiuf;fpd;Nwd;. jtwhd / Nghypahd Mtzq;fisr; rku;g;gpg;gJ jz;lidf;Fupa Fw;wkhFnkd;gijAk; ehd; mwpNtd;.whe m%ldYh$tpz;zg;gjhuupd; cWjpAiu / Declaration of the Applicantldr hd,hSh m%fhdackh i|yd$mYtyf cgNahfj;jpw;F khj;jpuk;/ For O cial use onlyController's OrderPending at Computer DivisionPPT No:PPT Lost: Yes/NoPolice Report / TTD / NMRPDual Citizen: Yes / NoBC No. & District:NIC / DL / Postal IDMC No. & DistrictF's PPT / NIC Copy & Concent LetterM's PPT / NIC Copy & Concent LetterDC / AC's Order:Minute Sheet Attached (If any)..DC / AC SignatureI declare that I am a citizen of Sri Lanka and the above information provided by me and the documents attached hereto are true and correct.

3 Also, I am aware of the fact that producing forged/falsi ed documents and information is a punishable o kh$jpfjp w;aik$tpz;zg;gjhupapd; ifnahg;gk;Signature of the Applicant